Inspecting for better lives Key inspection report
Care homes for older people
Name: Address: Holmesdale House 3 Holmesdale Road Bexhill-on-sea East Sussex TN39 3QE The quality rating for this care home is:
two star good service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: June Davies
Date: 1 2 0 1 2 0 0 9 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area.
Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection.
This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Older People can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Older People Page 2 of 29 Reader Information
Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.csci.org.uk Internet address Care Homes for Older People Page 3 of 29 Information about the care home
Name of care home: Address: Holmesdale House 3 Holmesdale Road Bexhill-on-sea East Sussex TN39 3QE 01424217953 01424224889 holmesdale.house@virgin.net Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Mrs Pamela Vidal,Mr Elias Vidal Name of registered manager (if applicable) Mrs Pamela Vidal Type of registration: Number of places registered: Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 old age, not falling within any other category Additional conditions: The maximum number of service users to be accommodated is 6 The registered person may provide the following category of service only; Care home only (PC) to service users of the following gender: Either whose primary care needs on admission to the home are within the following category: Old age, not falling within any other category (OP) Date of last inspection Brief description of the care home Holmesdale House is a detached family house situated in a residential road in the centre of Bexhill-on-Sea. The home is family run with resident owners and can cater for up to six older people. Holmesdale House is decorated to a high standard. There is a large attractive back garden with a sun terrace and several seating areas. Residents have their own bedroom with en suite lavatory and wash hand basin. Five of the bedrooms over look the back garden and there is level access to the garden. The bedrooms are light and well maintained and comfortable. Residents have the use of Care Homes for Older People
Page 4 of 29 care home 6 Over 65 6 0 Brief description of the care home two lounges and a conservatory that is used for dining. The Registered Manager and her husband, provide the majority of care with the support of a small group of carers. Care Homes for Older People Page 5 of 29 Summary
This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: This unannounced key inspection was carried out on the 12th January 2009 over a period of six and half hours. The inspector spoke with the registered provider/manager, staff, and all the residents. A tour of the premises was carried out and documents relating to the key standards inspected were viewed. Information supplied in the Annual Quality Assurance Assessment was also taken into consideration. Care Homes for Older People Page 6 of 29 What the care home does well: What has improved since the last inspection? Care plans were found to contain all the information gained at the pre-admission assessment process. There is evidence that the residents likes, dislikes and interests are recorded in their care plans, and there was good recording of external health visits. Daily records are well written. It was noted that if a resident has not been well, this is reported on from day to day in the daily records until such time as the resident is better. All contact with the community and activities participated in are also recorded in the daily records. The inspector noted that the office which is situated on the first floor of the building was neet and tidy with everything in place. The registered provider/manager is employing an administrator, to ensure that paperwork is kept up to date and is Care Homes for Older People Page 7 of 29 properly filed and accessible. All files are kept securely in the office. What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line –0870 240 7535. Care Homes for Older People Page 8 of 29 Details of our findings
Contents Choice of home (standards 1 - 6) Health and personal care (standards 7 - 11) Daily life and social activities (standards 12 - 15) Complaints and protection (standards 16 - 18) Environment (standards 19 - 26) Staffing (standards 27 - 30) Management and administration (standards 31 - 38) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Older People Page 9 of 29 Choice of home
These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between them and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents move into the home knowing that their needs can be met and that their independence will be maximised and promoted. Residents know that their aspirations will be supported by the home. Evidence: The inspector viewed two pre-admission assessments for two residents who have been admitted to the home within the last year. Both pre-admission assessments were detailed and reflected the residents assessed needs this included health, personal and social care needs. Prior to admission prospective residents are also invited to visit the home with their relatives. Residents told the inspector that they had been given sufficient information prior to moving into the home, that they had been able to visit the home, and they had been allowed to make an informed choice in regard to moving into Holmesdale House. Care Homes for Older People Page 10 of 29 Evidence: The home does not offer intermediate care. Care Homes for Older People Page 11 of 29 Health and personal care
These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it, in a safe way. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The care planning system in the home is good, and provides the staff with the information they need to meet the residents health, personal and social care needs. The health needs of the residents are well met, with evidence of residents have access to a variety of health care specialist, but provision should be made for a visiting optician to the home. Generally medication in the home is well managed, but some improvements are needed to ensure that the medication procedure runs smoothly and that where residents are self medicating this is risk assessmened and properly monitored and reviewed. Personal care is offered inas way to protect the residents privacy and dignity and promote independence. Care Homes for Older People Page 12 of 29 Evidence: The inspector viewed all six care plans, and found them to be detailed and informative. All care plans give staff good information as to the health, personal and social care needs of the residents. It was noted however that risk assessments were mainly generic, and there are three residents who self medicate either all of part of their prescribed medication which had not been risk assessed. One resident who experiences problems swallowing food does not have a risk assessment in place, and there were no clear guidelines for staff as to what they could do to minimise the risk of choking. Good evidence was available that the residents health care needs are met. Care plans clearly showed where residents had received visits from or attended appointments with external health care professionals. The residents in the home are fairly active and therefore are able to provide exercise for themselves by walking around the garden or going out into the local community, and are not at the present time at risk from pressure areas. Discussion took place with the manager in regard to recording all external health care visits. While there was clear evidence within the daily reports that residents have access to a chiropodist, and one resident receiving assistance from the audiologist. Some residents said that they had not had their eyes tested recently, with one resident in particular stating that she would like to see an optician. This issue was discussed with the registered provider/manager, in regard to an optician visiting the home. Residents said that generally their health care needs are met, and that staff are prompt in calling the General Practitioner when required. Some residents said that there are occassions when they like to visit their General Practitioner at the surgery for non urgent issues, but are not always certain if transport would be available for them. Again this issue was discussed with the registered provider/manager as to how this transport problem could be overcome. The inspector viewed the medication policy and procedure and found it to give good guidelines to staff in respect of the receipt, storage, administration and return of medication, but this document needs to be reviewed to ensure that staff have clear directions in regard to PRN (as required) medication and the administration of homely remedies. The registered provider/manager said that at the present time she has a problem with the pharmacy in that not all residents medication is received at the same time each month for the new monthly cycle. Through discussion it was suggested that a meeting with the pharmacist might be beneficial, to ensure that all prescriptions could be arranged to coincide so that all medication is received on the same day each month. The inspector found that Monthly Administration Records for medication had been signed off appropriately when medication had been administered by staff. The inspector did note that not all medication is signed in on the Monthly Administration Records when it is received into the home. At the present time the home does not use Controlled Drugs, but facilities are available in the home should they be prescribed. As
Care Homes for Older People Page 13 of 29 Evidence: mentioned previously there are some residents in the home who self administer all or part of their medication, and this should be risk assessed and monitored to ensure that residents are not placed at risk. Throughout the inspection the inspector noted that staff talk to the residents in a friendly and courteous manner. Residents stated that staff are very good, and they respect the residents privacy and dignity. Some residents said it is just like a big family here, but we are able to have our privacy when we want to. Care Homes for Older People Page 14 of 29 Daily life and social activities
These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Due to the change in residents in the last year, further improvements need to be made to the activities on offer to ensure that all the residents interests are catered for. The meals in this home are good offering both choice and variety and catering for special diets. Evidence: Care plans show that residents are able to make choices in regard to their daily living routines, like getting up and going to bed and when and where they wish to eat. The activities in the home need to be developed. There has been a change in residents over the last year, and residents are becoming frailer and have differing interests. The registered provider/manager has employed a activities co-ordinator, who will be taking up her appointment later in January 2009. The activities co-ordinator will liaise with residents to find out what activities they are interested in and from these residents preferences will draw up an activities rota. Many of the residents are still fairly independent, and are able to go out into the community on their own, when the weather permits. There was evidence both within the daily reports for individual residents and the activities book, that some residents go out into the community to
Care Homes for Older People Page 15 of 29 Evidence: visit their hairdresser, chiropodist and to visit friends, or just for a walk. Many of the residents gather in one of the small lounges in the home during the morning for coffee, to have a chat and discuss television programmes they have watched the night previously. On the day of the inspection the inspector was able to join residents for their coffee meeting in the morning. Evidence was available from both the activity book and the residents that they go out to the theatre and have trips out into the countryside. Visitors are made welcome and can visit at any time. Residents have their own peronal telephone in their bedrooms and have regular contact with their relatives and friends. All of the residents in the home have made arrangement for a relative to be power of attorney for their financial affairs. The registered provider/manager has no dealings with residents financial affairs. During a tour of the building the inspector evidence that residents are able to bring small items of furniture, ornaments, photographs and pictures into the home with them when they move in. Residents are able to have access to their own individual records if they wish to do so. The inspector was invited to join the residents for lunch, and the meal was Macaroni Cheese with potatoes and green beans and tomatoes, followed by apple crumble and tea or coffee. It was noted that one resident had chosen to have bacon and another resident who required a specialised diet had stewed apples and custard for desert. The inspector also noted that a bowl of fresh fruit was also available for the residents to help themselves. Residents said that there is always fresh fruit available. All the residents said the food in the home was really good, and they were able to have choices if there was something on the menu that they did not like. After lunch a carer was asking residents what they would like for their evening meal. Most of the residents retire to their bedroom after lunch, and are able to have afternoon tea brought to their bedrooms if they wish. Where residents require specialised diets, this is catered for by the home. Care Homes for Older People Page 16 of 29 Complaints and protection
These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them know how to complain. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. People’s legal rights are protected, including being able to vote in elections. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home operates in a pro-active manner and residents are fully aware of what the complaints process is. Full time members of staff have received training in the Safeguarding of Vulnerable Adults to ensure that residents are not placed at risk from abuse. Evidence: There have been no complaints or concerns in the home since the last Key Inspection. The home has an up to date complaint policy and procedure and this is made available to all new residents and their relatives. Residents said that should they need to complain they would know who to approach and how the complaint would be dealt with. The home only has six residents and is operated as a small family unit. The registered provider/manager works hands on with the residents, and is able to sit and talk to them during the day, therefore any issues that may be causing concern are discussed openly on a daily basis. There have been no Safeguarding Vulnerable Adults referrals since the last key inspection. Two full time members of staff have received training in the protection of
Care Homes for Older People Page 17 of 29 Evidence: vulnerable adults. There are two part-time members of staff who need to update this training. All staff employed by the home have Criminal Records Bureau checks in place. The home has up to date policies and procedures on the prevention of abuse and whistleblowing. Care Homes for Older People Page 18 of 29 Environment
These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The standard of decor within this home is excellent, with evidence of good maintenance, this provides residents with a comfortable, safe and pleasing environment in which to live. Full time staff have good knowledge of infection control, and there are no offensive odours in the home, therefore residents are not placed at risk of cross infection. Evidence: The inspector carried out a tour of the whole home. The home is very clean, with no offensive odours. All communal rooms, bedrooms, bathrooms, laundry and kitchen are decorated and furnished to a high standard, with good quality domestic style furniture. Bedrooms were all very individual to each resident, and it was evident that residents are able to bring small items of furniture, ornaments, photographs, and pictures into the home with them when they move in. Some residents have also chosen to bring their own beds into the home. All bedrooms have a portable call bell system in place. The communal rooms comprise of two sitting rooms, a conservatory which provides a dining area and well furnished sitting area, with direct access to the very well maintained patio and gardens. In the last year a pathway has been laid around the whole garden. Residents stated that they loved the garden, and really appreciate the
Care Homes for Older People Page 19 of 29 Evidence: pathway, which makes walking easier for them. Residents talked at length about the vegetables that were grown, and the flowers growing in the garden. The residents also said how much they enjoy sitting out on the patio when the weather is nice. The registered provider/manager and her husband also live on the premises, and this gives a family atmosphere to the home. The registered provider/manager stated that her husband carried out most of the maintenance work to the home. The two full time members of staff have received training in infection control, but the part-time staff need to update their infection control training. Care Homes for Older People Page 20 of 29 Staffing
These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. There are sufficient care staff on duty for each shift to meet the residents assessed health, personal and social needs. All staff have achieved qualification in care ensuring that staff have the knowledge to meet the residents needs. Recruitment procedures need to be improved to ensure that new staff are appropriately checked prior to taking up employment so that residents are not placed at risk. Further staff training is required to ensure that all members of care staff have updated their mandatory training, so that residents receive safe care at all times. Evidence: There is only a small staff team working in the home. The registered provider/manager works hands on alongside the care staff team. There are always two members of staff on duty during the day and one of these may be the registered provider/manager, depending on the staff rota. Residents said that there are always enough staff on duty and there was always a member of staff available for them. The registered provider/manager because she lives on the premises, carries out a sleeping night duty.
Care Homes for Older People Page 21 of 29 Evidence: Residents again had confidence in this and said that should they need to call for assistance at night, the response is almost immediate. The registered provider/manager stated that she is very rarely called at night. Residents spoke highly of all the staff in the home, and the inspector observed that staff show respect and empathy to the residents in a friendly and professional way. The two full-time members of staff have achieved their NVQ in Social Care, with the two part-time members of staff being registered nurses. The inspector looked at a personnel file for the newest member of staff, and found that there were two written references, three forms of indentification and a Criminal Records Bureau check. It was noted however that the Criminal Records Bureau check had been received 16 days after the member of staff have started employment, and that there had been no Protection of Vulnerable Adults register check prior to this member of staff being deployed to work in the home. A requirement is being made that all staff receive appropriate vetting prior to taking up employment in the home. On viewing staff training certificates the inspector found that both full time members of staff have received training in - Medication, First Aid, Moving and Handling, Protection of Vulnerable Adults, Infection Control, Fire Safety and other work related issues. It was noted however that two part-time staff need to up date their mandatory training. Care Homes for Older People Page 22 of 29 Management and administration
These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately with an open approach that makes them feel valued and respected. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The management of this home is good overall and residents benefit from a well run home. The quality assurance system in the home needs to be developed to ensure that the home is providing a good quality standard of care for the residents living in the home. Staff receive regular formal supervision to ensure they have the skills and knowledge to meet the residents assessed needs. Health and safety in the home is good ensuring that residents live and staff work in a safe environment. Evidence: The registered provider/manager has owned Holmesdale House for over thirty years, she has gained her Registered Managers Award. The home is managed in an open and
Care Homes for Older People Page 23 of 29 Evidence: transparent way, with the registered provider/manager working hands on with the staff. All the residents spoke highly of the manager and the staff, saying they receive an excellent standard of care, and they are so glad that they found this home. The quality assurance system in the home needs to be expanded to incorporate the views of residents relatives and friends and professional visitors to the home such as General Practitioners, district nurses, chiropodist, hairdresser, and other health and social care professionals who visit the home. A health and fire safety risk assessment needs to be carried out for every room in the premises on at least an annual basis. This information together with the monitoring of systems used in the home, should then be incorporated into an annual report, that should also provide evidence towards the annual improvement plan. A recommendation is being made that the quality assurance system is developed to meet the National Minimum Standards. All residents living in the home have made their own arrangements for receiving and safe keeping of their personal allowances. The registered provider/manager has no dealings with residents personal allowances. The inspector was shown formal supervisions for each member of staff working in the home. The staff receive six formal supervision sessions a year. As mentioned previously under staff training, some staff have completed all their health and safety mandatory training, two part time staff need to update this training together with the remaining two staff who will need to update this training when it becomes due. The inspector viewed maintenance certificates for all equipment used in the home and found these to be up to date. The registered provider/manager was not able to find the premises electrical circuit certificate, which is due every five years, she will raise this with the electrician who carries out the portable appliance testing. Regular checks are carried out and recorded on the Fire Alarm call points, doorguards, hot water delivery and call bell system. Any accident is reported appropriately in the homes accident book. Care Homes for Older People Page 24 of 29 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements
These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards.
No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 25 of 29 Requirements and recommendations from this inspection:
Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours.
No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set.
No. Standard Regulation Requirement Timescale for action 1 7 13 The registered person shall ensure that unnecessary risks to health or safety of service users are identified and so far as possible eliminated. Individual risk assessments should be drawn up to ensure that residents who are self medicating, or who may have health problems that could lead to them being at risk have a risk assessment drawn up, to ensure that risk of harm is kept to a minimum. 27/02/2009 2 9 13 The registered person shall make arrangements for the recording, handling, safekeeping, safe administration and disposal of medicines received into the care home. In that the medication policy and procedure should include guidelines for staff 27/02/2009 Care Homes for Older People Page 26 of 29 as to how PRN (as required) medication and homely remedies should be managed. 3 29 19 The registered person must 27/02/2009 ensure that prospective staff have the relevant checks carried out prior to taking up employment in the home. All prospective staff must be checked on Protection of Vulnerable Adults Register and have Criminal Records Bureau Check prior to being employed in the home, to ensure that residents are not placed at risk. 4 30 12 The registered person shall, 27/02/2009 having regard to the size of the care home, the statement of purpose and number and needs of the service users - ensure that the persons employed by the registered person to work at the care home receive - training appropriate to the work they are to perform including structured induction training. That all staff must receive health and safety related training in - moving and handling, first aid, food hygiene, fire safety, Safeguarding Vulnerable Adults and Medication and that this training is updated as required to ensure that Care Homes for Older People Page 27 of 29 residents are safe at all times. Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service.
No. Refer to Standard Good Practice Recommendations 1 2 8 33 The registered person should make arrangements for residents eyesight to be tested on a regular basis. The registered person to further develop the quality assurance system in the home to ensure that the views of the residents, relatives, and professional visitors to the home is sought, that the systems used in the home are monitored and that a health and safety and fire risk assessment is carried out on a regular basis of each room in the home. A summary of these quality checks should then form the basis for an annual quality review report. Care Homes for Older People Page 28 of 29 Helpline: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 29 of 29 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!
